CREDIT REPORT DISPUTE FORM

CREDIT REPORT DISPUTE FORM

If you feel there are inaccuracies in your report, you should write directly to the credit bureau (Experian, Trans Union or Equifax) that supplied the information. First, fill out the top part of this form. Then print the creditor name and account number of the item in question in the Creditor column. Also, print the specific reason for your disagreement in the Dispute column. If you have additional information that you believe supports your dispute, include it in the comments column. Finally, sign the sheet in the space marked Signature and mail the entire form to the appropriate credit bureau. We also recommend writing directly to the creditor (bank, department store or other lender) detailing the error and the corrective actions you have taken.

First Name________________ Middle___ Last______________________ Jr.____Sr.____

Address_____________________________________________________________________

City/State/Zip _______________________________________________________________

Social Security Number (necessary to access your credit reports) _________________

Signature____________________________________________________________________

CREDITOR

DISPUTE

COMMENTS

Equifax

P.O. Box 740256 Atlanta, GA 30374-0256

866-481-8938

Experian

P.O. Box 2002 Allen, TX 75013

888-397-3742



Trans Union

Consumer Relations P.O. Box 1000

Chester, PA 19022

800-888-4213

IF YOU NEED ADDITIONAL SPACE, USE BLANK SHEETS OF PAPER AND LIST NUMBER OF PAGES BELOW.

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